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<html>
<head lang="en">
    <meta charset="UTF-8">
    <title>当前药单</title>
    <link rel="stylesheet" href="/WebYiZhi/Template/Home/Css/bootstrap.css"/>
<link rel="stylesheet" href="/WebYiZhi/Template/Home/Css/icheck.css"/>
<script src="/WebYiZhi/Template/Home/Js/jquery-2.1.1.js"></script>
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<link rel="stylesheet" href="/WebYiZhi/Template/Home/Css/login.css"/>
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</head>
<body>
<div class="container match diagnostic">
    <p class="m_cont_info  text-center">档案袋 <span class="rt close_img"><img src="/WebYiZhi/Template/Home/Img/close.png" alt="" id="close_img"></span></p>
    <div class="d_cont">
        <div class="hmTable">
            <p class="rt hm_b">
                <span class="lf"><a class="pm-adda" href="javascript:;">添加用药</a></span>
                <span  class="rt"><b>2017-04-06</b><b>06:50:45</b><b>指导医生：张三</b></span>
            </p>
            <div class="pm_add">
                <form action="">
                    <div class="row">
                        <div class="form-group col-xs-6">
                            <label class="col-xs-3 control-label">药品名称：</label>
                            <div class="col-xs-9">
                                <span class="select-box">
                                    <select class="select form-control" size="1" name="demo2">
                                        <option value="" selected="">他克莫司</option>
                                        <option value="1">阿莫西林</option>
                                    </select>
                               </span>
                            </div>
                        </div>
                        <div class="form-group col-xs-6">
                            <label class="col-xs-3 control-label">药品规格：</label>
                            <div class="col-xs-9">
                                <input type="text" class="form-control" autocomplete="off" placeholder="0.5mg/粒">
                            </div>
                        </div>
                    </div>
                    <div class="row">
                        <div class="form-group col-xs-6">
                            <label class="col-xs-3 control-label">开始时间：</label>
                            <div class="col-xs-9">
                                <input type="date" class="form-control" autocomplete="off">
                            </div>
                        </div>
                        <div class="form-group col-xs-6">
                            <label class="col-xs-3 control-label">如何服药：</label>
                            <div class="col-xs-9">
                                <span class="select-box">
                                    <select class="select form-control" size="1" name="demo2">
                                        <option value="" selected="">隔一天一次</option>
                                        <option value="1">隔两天一次</option>
                                        <option value="1">隔三天一次</option>
                                        <option value="1">隔一周一次</option>
                                        <option value="1">隔一年一次</option>
                                    </select>
                               </span>
                            </div>
                        </div>

                    </div>
                    <div class="row">
                        <div class="form-group col-xs-6">
                            <label class="col-xs-3 control-label">服药天数：</label>
                            <div class="col-xs-9">
                                <span class="select-box">
                                    <select class="select form-control" size="1" name="demo2">
                                        <option value="" selected="">一天</option>
                                        <option value="1">两天</option>
                                        <option value="1">三天</option>
                                        <option value="1">四天</option>
                                        <option value="1">五天</option>
                                        <option value="1">六天</option>
                                        <option value="1">七天</option>
                                        <option value="1">两周</option>
                                        <option value="1">三周</option>
                                        <option value="1">四周</option>
                                        <option value="1">一个月</option>
                                        <option value="1">两个月</option>
                                        <option value="1">三个月</option>
                                        <option value="1">长期</option>
                                    </select>
                               </span>
                            </div>
                        </div>
                    </div>
                    <div class="row m_tbtn">
                        <p class="col-xs-2">单天服用药量</p>
                        <p class="col-xs-8"></p>
                        <p class="col-xs-2">增加次数</p>
                    </div>
                    <div class="row pm_tab">
                        <table class="table table-bordered col-xs-12 text-center">
                            <tr>
                                <td>次数</td>
                                <td>时间</td>
                                <td>粒</td>
                                <td>操作</td>
                            </tr>
                            <tr>
                                <td>第一次</td>
                                <td>9：00</td>
                                <td><button>-</button>1<button>+</button></td>
                                <td>移除</td>
                            </tr>
                        </table>
                    </div>
                    <div class="row p_submit pm_sub">
                        <div class="col-xs-offset-5 col-xs-2"><input type="submit" value="提交"/></div>
                    </div>
                </form>
            </div>
            <div class="tb_table">
                <div class="tb_plf">
                    <p class="lf">阿司匹林（规格：0.5mg/粒）  每天服用2次</p><span class="rt"><a class="adjust" href="javascript:;">调整</a></span>
                </div>

                <div class="tb_clear">
                    <p>第1次  09：00服用8.0*0.5mg/粒</p>
                    <p>第2次  09：00服用7.0*0.5mg/粒</p>
                </div>
                <div class="tb_add">
                    <form action="">
                        <div class="row">
                            <div class="form-group col-xs-6">
                                <label class="col-xs-3 control-label">药品名称：</label>
                                <div class="col-xs-9">
                                <span class="select-box">
                                    <select class="select form-control" size="1" name="demo2">
                                        <option value="" selected="">他克莫司</option>
                                        <option value="1">阿莫西林</option>
                                    </select>
                               </span>
                                </div>
                            </div>
                            <div class="form-group col-xs-6">
                                <label class="col-xs-3 control-label">药品规格：</label>
                                <div class="col-xs-9">
                                    <input type="text" class="form-control" autocomplete="off" placeholder="0.5mg/粒">
                                </div>
                            </div>
                        </div>
                        <div class="row">
                            <div class="form-group col-xs-6">
                                <label class="col-xs-3 control-label">开始时间：</label>
                                <div class="col-xs-9">
                                    <input type="date" class="form-control" autocomplete="off">
                                </div>
                            </div>
                            <div class="form-group col-xs-6">
                                <label class="col-xs-3 control-label">如何服药：</label>
                                <div class="col-xs-9">
                                <span class="select-box">
                                    <select class="select form-control" size="1" name="demo2">
                                        <option value="" selected="">隔一天一次</option>
                                        <option value="1">隔两天一次</option>
                                        <option value="1">隔三天一次</option>
                                        <option value="1">隔一周一次</option>
                                        <option value="1">隔一年一次</option>
                                    </select>
                               </span>
                                </div>
                            </div>

                        </div>
                        <div class="row">
                            <div class="form-group col-xs-6">
                                <label class="col-xs-3 control-label">服药天数：</label>
                                <div class="col-xs-9">
                                <span class="select-box">
                                    <select class="select form-control" size="1" name="demo2">
                                        <option value="" selected="">一天</option>
                                        <option value="1">两天</option>
                                        <option value="1">三天</option>
                                        <option value="1">四天</option>
                                        <option value="1">五天</option>
                                        <option value="1">六天</option>
                                        <option value="1">七天</option>
                                        <option value="1">两周</option>
                                        <option value="1">三周</option>
                                        <option value="1">四周</option>
                                        <option value="1">一个月</option>
                                        <option value="1">两个月</option>
                                        <option value="1">三个月</option>
                                        <option value="1">长期</option>
                                    </select>
                               </span>
                                </div>
                            </div>
                        </div>
                        <div class="row m_tbtn">
                            <p class="col-xs-2">单天服用药量</p>
                            <p class="col-xs-8"></p>
                            <p class="col-xs-2">增加次数</p>
                        </div>
                        <div class="row pm_tab">
                            <table class="table table-bordered col-xs-12 text-center">
                                <tr>
                                    <td>次数</td>
                                    <td>时间</td>
                                    <td>粒</td>
                                    <td>操作</td>
                                </tr>
                                <tr>
                                    <td>第一次</td>
                                    <td>9：00</td>
                                    <td><button>-</button>1<button>+</button></td>
                                    <td>移除</td>
                                </tr>
                            </table>
                        </div>
                        <div class="row p_submit pm_sub">
                            <div class="col-xs-offset-5 col-xs-2"><input type="submit" value="提交"/></div>
                        </div>
                    </form>
                </div>
            </div>

        </div>
    </div>
</div>
</body>
<script src="/WebYiZhi/Template/Home/Js/common.js"></script>
</html>